{"npi":"1760102891","type":"NPI-1","status":"active","name":{"display":"Alexis Taylor Licsw","other":[{"code":"1","type":"Formerly known as","value":"JOHNSON, ALEXIS KAELIN"}],"first":"ALEXIS","last":"TAYLOR","middle":"KAELIN","credential":"LICSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"MN","license":"29955"}]},"addresses":[{"purpose":"LOCATION","street_1":"12400 PORTLAND AVE STE 180","city":"BURNSVILLE","state":"MN","postal_code":"553376875","country_code":"US","phone":"9522227704"},{"purpose":"MAILING","street_1":"330 S SECOND AVE SUITE 200 #1151","city":"MINNEAPOLIS","state":"MN","postal_code":"55401","country_code":"US"}],"license":{"state":"MN","number":"29955"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-08-30","last_updated":"2025-06-27","_meta":{"source":"NPPES","snapshot_date":"2025-06-27","doc_url":"https://findmynpi.com/api"}}